I will attach the template that needs to be used for this assignment. And an example.

 

 

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5-TR criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5-TR criteria. 

 

• Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
• Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
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• By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
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• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient.

 

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

 

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
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• Objective: What observations did you make during the psychiatric assessment?
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• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
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• Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

 

Training Title 95Name: Ms. Serenity Jackson 

Gender: female

Age: 24years old

T- 97.5 P- 80 R 18 118/74 

Ht 5’2 Wt 136lbs

Background: Born and raised in Gainesville, FL with her mother and 4 older brothers; hermother has hx of panic disorder, 2 brothers hx of cannabis; father abandoned the family whenshe was 3 years old. One brother is in prison for burglary. no previous mental health treatment,no medications; NKDA; no legal hx; sleeping 9 hrs.; Appetite is good. She has an associate ofarts degree and works for Leaders furniture warehouse. She has DX of diabetes since age 8. She recalls having great difficulty with her medical condition (uncontrolled blood sugar, fighting with mother over needle sticks, “kids want candy, and I was so different because of my diet”).She recalls having a difficult relationship with her mother who was a nurse and really worked hard to control her daughter’s diabetes. She is not in a relationship, identifies as lesbian but hasnot come out to the family. Only her closest co-workers know She stated, “I don’t see why I would, they wouldn’t understand, and this is not important right now.”Symptom Media. (Producer). (2018). 

Training title 95

 [Video].https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-95 

 

 

VIDEO interview Transcript I chose:

UNKNOWN On your mental health checklist here, I see you checked shame and checked embarrassment. 

00:00:20UNKNOWN Yes. 

00:00:25UNKNOWN And checked feelings of loss of control. Is… is that all accurate? 

00:00:30UNKNOWN Very. 

00:00:30UNKNOWN Are those feelings weak feelings, strong feelings, somewhere in between? 

00:00:35UNKNOWN Strong. 

00:00:40UNKNOWN When… when did this feeling start? 

00:00:40UNKNOWN About the time I started pulling out my hair. 

00:00:45UNKNOWN Uh-huh. And how long ago was that? 

00:00:50UNKNOWN I have, maybe six years ago. 

00:00:50UNKNOWN Uh… 

00:00:50UNKNOWN Could’ve been seven, I’m not sure. 

00:00:55UNKNOWN Okay. Where… where on your body did you first pull out here? 

00:00:55UNKNOWN Hmm, my eyebrows. 

00:00:55UNKNOWN Uh-huh. 

00:01:00UNKNOWN Umm…Yeah, I just started playing with them while I was at work, proofreading reports I typed umm… with more just like rubbing them, you know, playing with them, not actually pulling the hairs out just like a nervous habit. 

00:01:15UNKNOWN Uh-huh. 

00:01:15UNKNOWN You know that that was all. 

00:01:20UNKNOWN And… and did that change what you were doing? 

00:01:25UNKNOWN Umm… Well, my coworkers noticed it before I didn’t… 

00:01:30UNKNOWN Uh-huh. 

00:01:30UNKNOWN You know, one day she said to me uh… goodness girl, that’s how we used to talk to each other. 

00:01:35UNKNOWN Oh, okay. 

00:01:35UNKNOWN She said, “Goodness girl, you’re plucking out your eyebrows.” And I… I said, “I was not.” Umm… “Maybe just some fell out while I was rubbing them. They can do that, you know, like fall out or never do… 

00:01:50UNKNOWN Right. Uh-huh. 

00:01:50UNKNOWN Well, at least, I think they can. Then when I checked in the mirror, my… my right eyebrow had fewer hairs on my left eyebrow. 

00:02:00UNKNOWN Was that the first time you ever had pulled out any hairs? 

00:02:05UNKNOWN I mean, apart from maybe when getting ready for a party, you know, the first time was by accident so… 

00:02:10UNKNOWN Uh… Uh-huh. And it was only your right eye… eyebrow? 

00:02:15UNKNOWN Uh… Well, at first, yeah, then uh… I… I put wax on my right eye… eyebrows so that when I reached up there it felt different. 

00:02:25UNKNOWN Oh, oh. 

00:02:25UNKNOWN Uh… Then umm… I started playing with my left eyebrow and pulling those hairs out umm… until all the hair was gone from both eyebrows umm… I mean, some women do that for fashion and then they… they draw them in. 

00:02:45UNKNOWN Right. 

00:02:45UNKNOWN Mostly older women, so that’s what I did, but then they both grew back and so I never touched him again. 

00:02:55UNKNOWN Uh-huh. They never pulled out eyebrow, hairs again? 

00:02:55UNKNOWN Never. Mm-mm. Then uh… I just started pulling out hair from my scalp. 

00:03:05UNKNOWN Mm-hmm. 

00:03:05UNKNOWN It just started the same, playing and twisting, and trolling like I was a little girl and then somewhere in that I started pulling the hairs out. 

00:03:20UNKNOWN How did you feel when you realize that’s what you were doing? 

00:03:25UNKNOWN Oh, shit. When I felt sorry… Pardon the language, but that’s what I felt like, here we go again. 

00:03:35UNKNOWN Did anyone else notice? 

00:03:40UNKNOWN Coworkers, I mean, you… you can’t get anything passed at bunch. I mean, I would deliberately play and twist and twirl with my hair in places that I knew I hadn’t pulled any hair out, you know, just in case I stopped subconsciously pulled more hair out uh… but they… they noticed the bald spots. I mean, they were little bald spots, but like I said, you… you can’t get anything passed at bunch. 

00:04:05UNKNOWN So you quit pulling hairs out of your eyebrows and then you started pulling hairs out of your scalp, did you pull hairs from anywhere else? 

00:04:15UNKNOWN Where else can I pull hairs from? 

00:04:20UNKNOWN Arms, legs, private parts. 

00:04:20UNKNOWN No. Hell, no. It was bad enough I was going to bald as it was. 

00:04:25UNKNOWN I… I notice you have a scarf on today. 

00:04:30UNKNOWN Yeah, I’ve got a scarf on over a wig. I mean, there’s not much hair going on underneath it. No one seeing me with a bald head. No. 

00:04:40UNKNOWN That… that uh… embarrasses you and makes you feel ashamed? 

00:04:45UNKNOWN Yes, sir, it does. 

00:04:45UNKNOWN Uh-huh. 

00:04:45UNKNOWN Do you have any other habits or rituals that concern you? 

00:04:50UNKNOWN What do you mean “rituals”? 

00:04:55UNKNOWN Umm… Some people have habits or rituals is like, they have to touch a refrigerator a certain number of times before they open or they have to wash their hands at a certain number of times before they feel like their hands are clean, ritual something you do is a habit that maybe other people don’t usually do. 

00:05:15UNKNOWN Yeah. I mean, when I have to unplug my… my mixer or… or hair dryer, I mean, not that I’m drying much hair nowadays, but I have to unplug it then plug it back in, unplug it, plug it back in… 

00:05:30UNKNOWN Uh-huh. 

00:05:30UNKNOWN Just same with the light switch. You know, I have to switch it on, switch off, switch it on, switch it off. 

00:05:35UNKNOWN Uh-huh. How many times? 

00:05:40UNKNOWN Eleven. 

00:05:40UNKNOWN Eleven times plugging and unplugging and also turning on and off switches. Uh-huh. 

00:05:45UNKNOWN Yes. 

00:05:45UNKNOWN They must cut in your time. 

00:05:45UNKNOWN Sure, it does. 

00:05:50UNKNOWN Mm-hmm. How long has that been going on? 

00:05:55UNKNOWN Since I was a little girl. You know, my mom would always get mad at me for taking so long, you know. I mean, I don’t know what she thought I was doing in the bathroom and bedroom for so long all the time. I can pitch her yelling at me to come downstairs to dinner or get into the car. 

00:06:15UNKNOWN Uh-huh. Any other rituals? 

00:06:15UNKNOWN I think that’s enough for one person. 

00:06:20UNKNOWN Yeah. What… what about thoughts that get stuck in your head, they play over and over you think about it and even though you want to quit thinking about it. 

00:06:35UNKNOWN Like cats? 

00:06:35UNKNOWN Uh-huh. What… what about cats? 

00:06:40UNKNOWN Cats carry diseases, you know. 

00:06:40UNKNOWN Uh-huh. 

00:06:45UNKNOWN I mean, cats being around babies can make babies sick, same with mother is carrying baby sick. Cats… cats are like pigeons carrying diseases. I think about this all the time when I’m… when I’m on the bus, when I’m walking on the grass, when I’m… when I’m sitting on the couch in my friend’s house like, I’m always worried that I might touch something, there’s some dirty cat has like licked or… or spit on on something. You know, I can’t stop thinking about it. Like, I’m worried that I might then carry that disease to some poor woman somewhere that’s pregnant with a baby or… or that my new neighbor will bring a cat or my old neighbor will get a cat like, I hate cats. 

00:07:30[sil.] 

00:07:35END TRANSCRIPT